Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Portneuf Valley Dental

Organization Dental Clinic/Center · NPI 1770127565

Portneuf Valley Dental is a Dental Clinic/Center in Pocatello, Idaho. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1246 Yellowstone Ave
Pocatello, ID 83201-4374
Phone: (208) 238-0125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1770127565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayson Bird — Ceo/Owner · (208) 680-5144
NPI enumeratedNovember 5, 2019
Last updated in NPPESNovember 5, 2019
Mailing address1246 Yellowstone Ave, Pocatello, ID 83201-4374

Other providers in Pocatello